Organization
BDD ALCD PC
Active
Other names
Advanced Laser & Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JAY JORBIN (CFO)
(312) 805-8590
Entity
Organization
Contact information
Practice address
720 COG CIR STE H, CRYSTAL LAKE, IL 60014-7362
(779) 220-4396
Mailing address
333 W 1ST ST, ELMHURST, IL 60126-2641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
04/19/2026
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